|
Replace aortic valve open axillry 33363
|
$14,800.00 |
$14,800.00 |
$14,800.00 |
$17,009.00
|
|
Replace duod/jej tube perc
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,357.60
|
|
Replace g/c tube perc
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$1,568.05
|
|
Replace picvad cath
|
$4,185.00 |
$4,185.00 |
$4,185.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$3,390.00 |
$3,390.00 |
$3,390.00 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,802.20
|
|
Repos sq defib eltrd
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$4,306.60
|
|
Respirator motion mgmt simul
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$1,200.53
|
|
Reticulated platelet assay
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$32.50 |
$32.50 |
$32.50 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$6,565.00 |
$6,565.00 |
$6,565.00 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$13,925.00 |
$13,925.00 |
$13,925.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,624.54
|
|
Revsc opn/prq tib/pero stent
|
$6,525.00 |
$6,525.00 |
$6,525.00 |
$9,196.55
|
|
Rheumatoid factor quantitative
|
$37.50 |
$37.50 |
$37.50 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$18.30 |
$18.30 |
$18.30 |
$234.12
|
|
Rho d immune globulin inj
|
$265.00 |
$265.00 |
$265.00 |
$217.71
|
|
R hrt cath chd nml nt cnj
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$492.50 |
$492.50 |
$492.50 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$600.00 |
$600.00 |
$600.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$540.00 |
$540.00 |
$540.00 |
$397.60
|
|
Right ventric recording
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$614.15 |
$614.15 |
$614.15 |
$1,509.75
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$144.69 |
$144.69 |
$144.69 |
$5,004.42
|
|
Rmvl icd by tv extr
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$25,165.00 |
$25,165.00 |
$25,165.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$25,300.00 |
$25,300.00 |
$25,300.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$24,620.00 |
$24,620.00 |
$24,620.00 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$645.00 |
$645.00 |
$645.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$5,300.00 |
$5,300.00 |
$5,300.00 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,235.00 |
$11,235.00 |
$11,235.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,020.00 |
$10,020.00 |
$10,020.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$955.00 |
$955.00 |
$955.00 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$1,805.00 |
$1,805.00 |
$1,805.00 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$5,305.00 |
$5,305.00 |
$5,305.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$4,225.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$31.78 |
$31.78 |
$31.78 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.39 |
$0.39 |
$0.39 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,995.00 |
$3,995.00 |
$3,995.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$3,505.00 |
$3,505.00 |
$3,505.00 |
$3,724.63
|
|
Rsv assay w/optic
|
$110.00 |
$110.00 |
$110.00 |
$76.32
|
|
Rubella antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$77.40
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Russell viper venom diluted
|
$77.50 |
$77.50 |
$77.50 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$362.50 |
$362.50 |
$362.50 |
$314.26
|
|
Salmonella antibody
|
$70.00 |
$70.00 |
$70.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$37.50 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$905.00 |
$905.00 |
$905.00 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$605.00 |
$605.00 |
$605.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$565.00 |
$565.00 |
$565.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$520.00 |
$520.00 |
$520.00 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$785.00 |
$785.00 |
$785.00 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$7,741.43 |
$7,741.43 |
$7,741.43 |
$4,246.72
|
|
Screening Mammogram
|
$237.50 |
$237.50 |
$237.50 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$46,138.45 |
$46,138.45 |
$46,138.45 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$715.00 |
$715.00 |
$715.00 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$25.00 |
$25.00 |
$25.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$96.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Sept9 promoter methylation analysis
|
$400.00 |
$400.00 |
$400.00 |
$316.68
|
|
Serial tonometry
|
$122.50 |
$122.50 |
$122.50 |
$131.02
|
|
Sertraline (zoloft) - sendout
|
$357.50 |
$357.50 |
$357.50 |
$126.43
|
|
Set radiation therapy field
|
$945.00 |
$945.00 |
$945.00 |
$782.61
|
|
Set radiation therapy field
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$1,159.03
|
|
Set radiation therapy field
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$1,636.36
|
|
Shot (Injection into Muscle or Under the Skin)
|
$155.00 |
$155.00 |
$155.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$202.50 |
$202.50 |
$202.50 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$2,096.84
|
|
Shoulder X-ray
|
$345.00 |
$345.00 |
$345.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$255.00 |
$255.00 |
$255.00 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$345.00 |
$345.00 |
$345.00 |
$355.80
|
|
Sialography s&i
|
$472.50 |
$472.50 |
$472.50 |
$499.20
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$157.65 |
$157.65 |
$157.65 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$890.00 |
$890.00 |
$890.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$785.00 |
$785.00 |
$785.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,517.48
|
